Risk Management

2019-2020 Benefits Book

Aetna Transition Coverage Request (form)

Aetna Memorial Hermann 

Summary of Benefits

Plan Document

SBC Document

Instructions on how to check if your physician is in Memorial Hermann

Memorial Hermann Network Map

Aetna KelseyCare

Summary of Benefits / Plan Document

SBC Document

Instructions on how to check if your physician is in Kelsey Seybold

Kelsey Seybold Storybook

Video:  KelseyCare for Aetna 

EPO - Texas Medical Neighborhood

Summary of Benefits

Plan Document

SBC Document

Instructions on how to check if your physician is in the EPO - Texas Medical Neighborhood

Total Family Care and RediMD will still be available for all 3 plans at NO COPAY!

Total Family Care cannot be your designated primary care physicain for KelseyCare

All plans have the same Express Scripts drug coverage. 

RxGrp: ALIEFRX

RxBin: 003858

Temporary ID card

Mail Order request form

Retail Pharmacy claim form

Contact Express Scripts by calling 800-282-2881 or online via www.express-scripts.com.

Cigna Dental Plans

Grp # 3342801

Cigna DHMO

Cigna PPO Low

Cigna PPO High

Cigna claim form (English)

Cigna claim form (Spanish)

Contact Cigna by calling 800-244-6224 or online via www.mycigna.com.

2019-20 Eyemed Vision Plans

These plans utilize the eyemed "insight" network

Grp # 1023105

Eyemed Low

Eyemed High

Contact Eyemed by calling 844-409-3401 or online via www.eyemed.com